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Organization
ALLENDALE ACADEMY LLC
Active
Organization
ALLENDALE ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM HOCHBERG (OWNER)
(239) 888-4910
Entity
Organization
Contact information
Practice address
454 E DUPONT RD, FORT WAYNE, IN 46825-2050
(239) 888-4910
Mailing address
5419 COUNTY ROAD 427, AUBURN, IN 46706-9504
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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